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Stock Compensation - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Jan. 31, 2024
Stock compensation          
Stock compensation expense $ 56.6 $ 54.5 $ 116.4 $ 107.9  
Dividend yield (as a percent)     0.00%    
Assumed annualized forfeiture rate (as a percent)     5.00%    
Escient          
Stock compensation          
Asset acquisition, compensation expense 31.5        
Share-based Payment Arrangement, Option          
Stock compensation          
Stock option grant term     10 years    
Vesting period     4 years    
Percentage of units vesting at the end of each calendar year (as a percent)     25.00%    
Unrecognized compensation cost for nonvested option (in dollars) 24.1   $ 24.1    
Vesting period of recognition of the unrecognized compensation cost of nonvested awards     1 year    
Share-based Payment Arrangement, Option | Share-based Payment Arrangement, Tranche One          
Stock compensation          
Vesting period     1 year    
Share-based Payment Arrangement, Option | Share-based Payment Arrangement, Tranche Two          
Stock compensation          
Vesting period     36 months    
Restricted Stock Units (RSUs)          
Stock compensation          
Vesting period     4 years    
Percentage of units vesting at the end of each calendar year (as a percent)     25.00%    
Number of shares awarded for each RSU (in shares)     1    
Unrecognized compensation cost for nonvested option (in dollars) 165.1   $ 165.1    
Vesting period of recognition of the unrecognized compensation cost of nonvested awards     1 year 4 months 24 days    
Performance Shares          
Stock compensation          
Stock compensation expense 3.5 2.7 $ 6.9 9.2  
Unrecognized compensation cost for nonvested option (in dollars) 10.1   $ 10.1    
Vesting period of recognition of the unrecognized compensation cost of nonvested awards     1 year    
Performance Shares | Minimum          
Stock compensation          
Vesting period     3 years    
Performance Shares | Maximum          
Stock compensation          
Vesting period     4 years    
Research and Development Expense          
Stock compensation          
Stock compensation expense 34.5 32.8 $ 71.3 63.8  
Selling, General and Administrative Expenses          
Stock compensation          
Stock compensation expense 21.7 20.9 44.1 42.5  
Cost of Sales          
Stock compensation          
Stock compensation expense $ 0.4 $ 0.8 $ 1.0 $ 1.6  
2024 Inducement Plan          
Stock compensation          
Shares reserved for future issuance (in shares)         1,000,000